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The Journal of Neuroscience, October 1, 1998, 18(19):7739-7749
Amino Acid Residues that Control pH Modulation of
Transport-Associated Current in Mammalian Serotonin Transporters
Yongwei
Cao,
Ming
Li,
Sela
Mager, and
Henry A.
Lester
Division of Biology, California Institute of Technology, Pasadena,
California 91125
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ABSTRACT |
The rat and human serotonin transporters (rSERT and hSERT,
respectively) were expressed in Xenopus oocytes and
studied using site-directed mutagenesis, electrophysiological
recordings, and [3H]5-HT uptake measurements.
rSERT, but not hSERT, displayed increased transport-associated current
at low pH. Chimeras and point mutations showed that, of the 52 nonidentical residues, a single residue at position 490 (threonine in
rSERT and lysine in hSERT) governs this difference. Furthermore,
potentiation required the glutamate residue at position 493. Cysteine
substitution and alkylation experiments showed that residue 493 is
extracellular. Cysteine at 493 increased, whereas aspartate decreased,
the net charge movement per transported 5-HT molecule. The mutations at
this region did not significantly affect other aspects of SERT
function, including agonist-independent leakage current,
voltage-dependent transient current, and H+ current.
This region may therefore be part of an external gate required for
rSERT function. The data and analyses show that, in the absence of
detailed structural information, a gate-lumen-gate scheme is useful
for interpreting results from mutations that alter functional
properties of neurotransmitter transporters.
Key words:
5-HT; Xenopus oocyte; protons; channels; electrophysiology; sodium
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INTRODUCTION |
The mammalian 5-HT transporter
(SERT) plays an important role in terminating serotonergic transmission
throughout the CNS and in peripheral tissues (Amara and Kuhar,
1993 ), constitutes a target for antidepressants and drugs of abuse
(Rudnick and Clark, 1993 ), and displays variations in expression that
are correlated with personality (Lesch et al., 1996 ) and with
prevalence of affective disorders (Collier et al., 1996 ). cDNA cloning
data show that vertebrate (Blakely et al., 1991 ; Hoffman et al., 1991 ;
Lesch et al., 1993 ; Ramamoorthy et al., 1993 ) and invertebrate
(Corey et al., 1994 ; Demchyshyn et al., 1994 ) SERT proteins belong to a
family of related Na+,
Cl -coupled neurotransmitter transporters that
display overall similarities in the function as well as individual
differences in the nature and stoichiometry of cotransported ions, rate
of transport, and associated electrophysiological properties (Lester et
al., 1994 , 1996 ).
Recent experiments have uncovered four distinct conducting states of
rSERT (Mager et al., 1994 ; Cao et al., 1997 ). (1) Classical stoichiometric data for SERT predict no net charge movement for each
5-HT molecule (see Fig. 9) (Rudnick and Clark, 1993 ). Yet electrophysiological recordings from oocytes expressing rSERT revealed
current associated with 5-HT uptake (Mager et al., 1994 ). Previous
studies showed that acidic pH increases this transport-associated current in rSERT; the EC50 for this effect is 7.8 µM H+, pH 5.1, and the Hill
coefficient is 1.1, suggesting the involvement of a single acidic side
chain. However, pH has no effect on 5-HT uptake (except at extreme pH),
indicating that pH may affect this conducting state without affecting
5-HT binding and transport (Cao et al., 1997 ). Several other
neurotransmitter transporters also display "excess"
transport-associated current (Lester et al., 1996 ; Sonders and Amara,
1996 ; Galli et al., 1997 ). (2) There is a Na+
leakage current in the absence of 5-HT (Mager et al., 1994 ). High-resolution patch recordings revealed that the transport-associated current and the leakage current arise from unitary events that resemble
single-channel openings, but the single-channel events that underlie
the transport-associated current occur at a frequency of only one per
~750 transported 5-HT molecules (Lin et al., 1996 ). (3) There is a
voltage-dependent transient current (Mager et al., 1994 ). (4) There is
an additional current at low pH, probably carried by protons (Cao et
al., 1997 ).
In this study, we have sought and found mutations that modify the first
of these currents and its relationship to 5-HT transport. We find that
the pH dependence of the transport-associated current differs between
human (hSERT) and rat (rSERT) transporters. Previous experiments have
successfully exploited chimeras between homologous transporters within
the Na, Cl superfamily that specifically transport different substrates
(Buck and Amara, 1994 , 1995 ; Giros et al., 1994 ), and chimeras between
the orthologous hSERT and rSERT transporters were used to localize a
region distal to amino acid 532 that governs species preferences for
the binding of imipramine and D-amphetamine (Barker et al.,
1994 ). We have also exploited hSERT-rSERT chimeras. Analysis of point
mutations then led to the conclusion that the set of residues governing
this difference lies in an extracellular portion of the protein and may
participate in an external gating process of the transporter.
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MATERIALS AND METHODS |
Plasmid DNAs, site-directed mutagenesis, and mRNA
synthesis. The rSERT cDNA (Hoffman et al., 1991 ) was used
in the expression vector pAMV-PA (Nowak et al., 1998 ) as
described (Lin et al., 1996 ). The hSERT cDNA was isolated by Dr. Beth
J. Hoffman (National Institute of Mental Health). The rSERT cDNA
fragment was radiolabeled by random priming and used to isolate a 4.5 kb cDNA clone corresponding to a partial cDNA of the hSERT from a human
raphe cDNA library (B. J. Hoffman, personal communication)
constructed in pCDSP6T7 (Usdin et al., 1991 ). The 5' end of the
coding region was isolated (B. J. Hoffman, personal
communication) by rapid amplification of cDNA ends (Frohman
et al., 1988 ) from human raphe poly(A+) RNA followed
by PCR using two gene-specific 22-nt oligomers [upstream
(sense), 5'-TTG GGA TCC TTG GCA GAT GGA C-3'; downstream (antisense),
5'-GCT GGT CCA GGG CAG CTG GTC C-3']. A complete cDNA was constructed
by ligation of a BamHI/SstI digest of this PCR
product to an SstI/EcoRV digest of the 3' end of
the cDNA in pSP73 (New England Biolabs, Beverly, MA;
http://www.neb.com). The sequence of the complete cDNA was verified by
double-stranded sequencing. The cDNA insert was excised by digestion
with SmaI and XbaI and transferred into the
EcoRV and XbaI sites of a modified pAMV-PA vector
(the AMV sequence was removed).
The C109A rSERT mutant was provided by Dr. Gary Rudnick (Yale
University School of Medicine) (Chen et al., 1997a ) and was also
transferred into the pAMV-PA vector. Site-directed mutagenesis was
performed using a PCR method (Higuchi, 1990 ). PCR products were
subcloned into pAMV-PA, and the presence of the intended mutation was
confirmed by sequencing. Plasmid DNAs were prepared using the Qiagen
(Hilden, Germany; http://www.qiagen.com) miniprep kit and were
linearized by NotI digestion. RNA was synthesized in
vitro using the Ambion (Austin, TX; http://www.ambion.com) transcription kit.
Sequence alignments were performed using LaserGene software (DNASTAR,
Madison, WI; http://www.dnastar.com). For the alignments of the short
stretch (see Fig. 1C), a total of 65 Na+,
Cl -dependent neurotransmitter transporters and
orphan transporters was selected from the GenBank database. A candidate
sequence (the human sequence when available) was then selected from
each cluster and was realigned.
Oocyte expression. Stage V and VI oocytes were isolated and
injected with ~20 ng of mRNA in 30-50 nl of water. Injected oocytes were then incubated 3-7 d at 19°C for translation (Quick and Lester, 1994 ).
Electrophysiology. Voltage-clamp experiments were performed
using the two-electrode technique (Mager et al., 1994 ). Data
acquisition and analysis were performed using the pCLAMP programs (Axon
Instruments, Foster City, CA; http://www.axonet.com). Normal
Na+ Ringer's solution contained 100 mM
NaCl, 2 mM KCl, 1 mM MgCl2, 5 mM HEPES, and 5 mM MES. Solution pH was
adjusted with NaOH or HCl to obtain pH 7.4 or 5.5 as indicated in the
text. For cation substitution experiments, NaCl was replaced by
equimolar N-methyl-D-glucamine (NMDG)
chloride. Solution changes were made with electrically operated valves
(Auto-Mate Scientific, San Francisco, CA). All recordings were
performed at room temperature (21-22°C). Tracings in the figures
represent similar traces recorded from at least three oocytes in each
of two or three batches. A Fourier transform algorithm was used to
suppress 60 Hz interference in some traces (see Fig. 3).
Sulfhydryl modification by
methanethiosulfonate derivatives.
Methanethiosulfonate-ethylammonium (MTSEA) and MTS-ethylsulfonate (MTSES) (Toronto Research Chemical Company, Toronto, Canada) were used
for irreversible, covalent modification of cysteine
residues. After an initial electrophysiological recording, oocytes were removed from the voltage-clamp chamber and incubated in
Na+ Ringer's solution containing 0.5 mM
MTSEA or 2 mM MTSES for 10 min. After incubation, the
oocytes were washed and voltage-clamped a second time; these recordings
were compared with the preincubation records to assess the effects of
sulfhydryl modification.
MTS compounds were prepared as 1.0 M solutions in
H2O and kept at 80°C. These stock solutions were
diluted in the appropriate buffer solution at room temperature just
before exposure to the oocyte.
5-HT uptake. 5-HT uptake was usually measured by a 3 min
incubation in 300 µl of uptake solution containing 1 µM
[3H]5-HT. Oocytes were washed once with the uptake
solution before uptake began and three times after uptake ended.
Oocytes were then solubilized in 2% SDS. The
[3H]5-HT uptake was determined by liquid
scintillation counting.
To determine 5-HT uptake during voltage clamp, we placed the oocyte in
the recording chamber and held the membrane potential at 40 mV. The
solution flow was then stopped, and [3H]5-HT was
added with gentle stirring to a final concentration of 1 µM. Current induced by 5-HT was simultaneously recorded
on a chart recorder. After 1 min, the recording chamber was perfused with Ringer's solution for 1 min.
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RESULTS |
Figure 1, A and
B, presents the primary amino acid sequence and putative
membrane topology of rSERT, which was used for most of our experiments,
and of the human homolog hSERT (Blakely et al., 1991 ; Hoffman et al.,
1991 ; Lesch et al., 1993 ; Ramamoorthy et al., 1993 ). Regions of
special interest are marked. Sequence comparisons between rSERT and
hSERT show that the two proteins have a high degree of similarity, with
52 different residues spanning a total of 630 amino acids (Fig.
1A).

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Figure 1.
Annotated amino acid sequences for rSERT and
related transporters. A, Alignment between rSERT and
hSERT (GenBank accession numbers X63253 and L05568, respectively).
Putative membrane topology is indicated by the blue
(intracellular), white (transmembrane, N terminal near
the intracellular face), pink (extracellular), and
gray (transmembrane, N terminal near the extracellular
face) regions. Residues in rSERT are shown in dark blue
letters; residues in hSERT (shown below rSERT in
black) are dashed where identical to
those in rSERT and shown explicitly where the two sequences differ, but
for simplicity, differences are not shown for the N- and C-terminal
intracellular regions (22 and 4 differences, respectively). Positions
of conserved restriction enzyme sites that were used for chimera
construction are marked by the enzyme name. Residues in which mutations
have been studied in the present experiments are marked by .
Numbers mark the positions in which mutations were
characterized (Figure legend continues)in previous studies: 1, C109 (Chen et al., 1997a ); 2, I172, Y176, and I179 (Chen et al., 1997b ); 3, N177 (Lin et al., 1996 );
and 4, S545 (Sur et al., 1997 ). The C109A mutant was used for some of
the experiments in this paper (see Figs. 6, 7). TM,
Transmembrane. B, Summary of the membrane topology shown
in A. C, Alignments for 19 transporters, including ~44 residues in the putative extracellular
region studied in this paper, flanking the E493 region of rSERT.
Initially, a total of 65 Na+,
Cl -dependent neurotransmitter transporters and
orphan transporters was selected from the GenBank database. A candidate
sequence (the human sequence if possible) was then selected from each
cluster and was realigned. The rSERT residues mutated in this study are
shown by .
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Acidic pH potentiates transport-associated current markedly
in rSERT but not in hSERT
We reported previously that acidic pH significantly increased the
transport-associated current in oocytes expressing rSERT (Cao et al.,
1997 ). Figure 2 recapitulates this
finding. In these experiments (see also the experiments described in
Figs. 4-6 below), the pH-dependent enhancement of the
transport-associated current was analyzed by comparing the
transport-induced currents in individual oocytes at pH 7.4 with those
at pH 5.5. This tactic presumably eliminates distortions from
variations in expression level among the various constructs. In
contrast, for hSERT expressed in oocytes, the transport-associated
current was increased only slightly (20% in the trace in
Fig. 2, right) and actually decreased in other experiments.
For the batch of oocytes that yielded our most complete set of
comparative data, transport-associated current for rSERT and hSERT at
40 mV increased to 399 ± 33% and decreased to 63 ± 1%
(mean ± SEM; five oocytes), respectively, of the value at pH 7.4 when external pH was lowered to 5.5.

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Figure 2.
Effects of acidic pH on transport-associated
current in wild-type (WT) rSERT and hSERT. Note that pH 5.5 solution
produces an additional inward current in the absence of 5-HT in both
transporters (Cao et al., 1997 ). However, only in rSERT the pH 5.5 solution also increases the transport-associated current during 5-HT
application. The holding potential was 40 mV. The base solution was
normal Na+ Ringer's solution, pH 7.4. Applications
of acidic Na+ Ringer's solution, pH 5.5, and 5-HT
(3 µM) are indicated by horizontal
bars.
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Most measurements were made at a holding potential of 40 mV for
consistency with our previous study (Cao et al., 1997 ), but in Figure
3, we analyze the voltage dependence of
the transport-associated current at low pH. For both rSERT and hSERT,
the transport-associated current at pH 5.5 increased at more negative
potentials and displayed no clear reversal at positive potentials. This
current-voltage relation is similar to that for the measurements at pH
7.4 (Mager et al., 1994 ), but the larger size of the current at pH 5.5 for rSERT allowed more accurate measurements. (We note that oocytes expressing hSERT generally displayed larger transport-associated currents than did those expressing rSERT, so that the enhanced current
for rSERT was only twice as large as that for hSERT, even though the
fractional enhancement at pH 5.5 was approximately four times larger
for rSERT than for hSERT. We have not systematically explored the basis
for the differing transport-associated currents, but the difference has
persisted with two series of mRNA syntheses and with three oocyte
batches.) At all membrane potentials between 20 and 100 mV,
pH 5.5 enhanced the transport-induced current for rSERT several fold,
but there was little enhancement or a decrease for hSERT. Other
electrophysiological properties of hSERT, such as the presence of
leakage current, H+ current, and transient current,
did not differ significantly from those of rSERT (data not shown).
Thus, this difference in the fractional enhancement of the
transport-associated current by low pH constitutes a specific and
limited electrophysiological distinction between rSERT and hSERT.

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Figure 3.
Voltage dependence of the transport-associated
current at pH 5.5. A, Data for a representative oocyte
expressing rSERT. Row 1, Voltage-clamp
traces in the absence of 5-HT, pH 5.5. The membrane
potential was held at 40 mV and jumped to test potentials at 10 mV
increments between +40 mV and 100 mV for 100 msec. Row
2, Traces for the same voltage-clamp protocol
applied 3 min later in the presence of 5-HT (3 µM), pH
5.5. Row 3, Subtraction revealing the 5-HT-induced
current at pH 5.5. Note that the subtracted traces are
displayed at a higher gain. B, Data for a representative
oocyte expressing hSERT, with voltage-clamp protocols and subtraction
described in A. The oscillations in the final epoch of
row 3 are an artifact of the algorithm that suppressed
60 Hz interference earlier in the traces.
C, The transport-associated current at pH 5.5 plotted
versus membrane potential. The current was averaged over the final 30 msec of the test pulse. Data are mean ± SEM for five rSERT and
four hSERT oocytes.
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The different residues at position 490 are responsible for
the different pH sensitivities of rSERT and hSERT
We constructed chimeric rSERT-hSERT proteins by swapping
corresponding cDNA segments generated by restriction enzyme digestion at several conserved sites (SacI, BglII, and
BamHI; see Fig. 1A). Measurements on
oocytes expressing these chimeric transporters showed that
transport-associated current was present in all four chimeras tested,
but marked potentiation by pH 5.5 was seen only in chimeras containing
the C-terminal 155 residues or more of the rSERT sequence (Fig.
4). Evidently this electrophysiological difference can be localized to a part of the transporter molecule consisting of the C-terminal 155 residues.

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Figure 4.
Localization of a region responsible for pH
dependence of the transport-associated current. Experiments similar to
those of Figure 2 were performed on chimeric rSERT-hSERT
transporters. The constructs used restriction sites for
SacI, BglII, and BamHI.
For locations of each restriction enzyme site, see Figure 1. Note that
all the data are consistent with the interpretation that pH 5.5 enhances the transport-associated currents in transporters containing
C-terminal sequences from rSERT. The BamHI construct
contains the fewest rSERT residues (155) and indicates that the
sequences governing pH 5.5 enhancement are located in the C-terminal
155 residues.
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We next asked whether the electrophysiological difference can be
localized to a specific residue. In these 155 positions at the C
terminal, rSERT and hSERT differ by 12 amino acid residues (Fig.
1A; four differences are not shown explicitly in the
intracellular C terminal). We therefore began to mutate these residues
individually. We first chose residues at positions 483 (rS483F; typical
trace shown in Fig. 5A), 490 (rT490K; Fig. 5B), and 572 (rH572Y; Fig. 5C),
because these residues are (1) polar and (2) thought to be in
extracellular or transmembrane portions of the protein and thus more
likely to respond to extracellular pH changes. Each of the three
mutants was functional in oocytes, but only rT490K (Fig. 5B)
showed a dramatically decreased low-pH potentiation of the
transport-associated current. To verify that position 490 governs the
difference in pH sensitivity between rSERT and hSERT, we made a reverse
mutant in which K490 in hSERT was mutated to threonine (hK490T; Fig.
5D). This reverse mutation conferred an rSERT-like pH
sensitivity on hSERT; the transport-associated current was now
significantly increased by acidic pH.

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Figure 5.
Effects of acidic pH on transport-associated
current from the point mutants rS483F (A), rT490K
(B), rH572Y (C), hK490T
(D), E493Q (E), and E494Q
(F) and the double point mutant E493Q-E494Q
(G). Recording conditions are described in the
legend to Figure 2.
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Protonation at E493 is mainly responsible for low-pH
potentiation of transport-associated current
Previous results showed that the H+
potentiation of the transport-associated current displays a typical
Michaelis-Menten relationship with an EC50 of 7.8 µM H+, pH 5.1, and a Hill coefficient
of 1.1, indicating that a single amino acid with pKa ~ 5.1 might be responsible for low-pH potentiation (Cao et al., 1997 ).
Threonine at position 490 is unlikely to be a candidate because its
free-solution pKa is ~9.1. However, there are two
consecutive glutamate residues (pKa ~ 4.7) at positions 493 and 494, just downstream of T490 (Fig. 1A). We
suspected that protonation of one or both of these glutamate residues
might actually be responsible for low-pH potentiation. To test this
hypothesis, we mutated E493 and E494 in rSERT to glutamine and
expressed the mutated transporters in oocytes. Results showed that a
single mutation at 493 only (E493Q) still allowed low-pH potentiation but at a reduced level (approximately twofold vs fourfold for WT rSERT
at pH 5.5; Fig. 5E). Mutation at 494 only (E494Q) displayed low-pH potentiation equal to that of WT rSERT (fourfold at pH 5.5; Fig.
5F). However, a double mutation at both 493 and 494 (E493Q-E494Q) almost completely abolished low-pH potentiation (Fig.
5G). These results suggest that E493 is mainly responsible for the low-pH potentiation. In the absence of E493, E494 partially fills the same role and allows for a moderate level of potentiation. However, potentiation also requires the absence of a positively charged
residue at position 490, as though a lysine-glutamate salt bridge
prevents protonation of the glutamate; and hSERT but not rSERT contains
the lysine at position 490.
E493 is exposed to the extracellular solution
On the basis of standard topology models (Fig.
1A,B), E493 is located in the
extracellular loop between the 9th and the 10th transmembrane segments.
To verify the hypothesis of extracellular localization, we mutated E493
to cysteine and tested whether the mutated protein became sensitive to
the externally applied cysteine-modifying reagents MTSEA and MTSES.
Because WT rSERT is already sensitive to externally applied cysteine
reagents, we chose the cysteine reagent-insensitive mutant C109A as our
control transporter for this series of experiments (Chen et al.,
1997a ). Confirming the work of Chen et al. (1997a) , we found that this
mutant (denoted by the number 1 in Fig. 1A)
functioned similarly to WT rSERT except for its reduced sensitivity to
cysteine reagents (Chen et al., 1997a ). Like WT rSERT, C109A showed an
approximately fourfold increase in transport-associated current at pH
5.5 (Fig. 6A). As
expected, incubation of C109A-expressing oocytes in MTSEA (0.5 mM) or MTSES (2 mM) for 10 min did not change
the amplitude of the transport-associated current (Fig.
6C). The E493C mutant constructed on the C109A
background (i.e., C109A-E493C double mutant) showed reduced low-pH
potentiation of transport-associated current (two- to threefold at pH
5.5) (Fig. 6B). This result is expected from the data on the E493Q mutant (Fig. 5E). Importantly, the
E493C mutant became sensitive to both MTSEA and MTSES (Fig.
6D). These results suggest that E493 is exposed to
the extracellular solution.

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Figure 6.
Comparisons between
transport-associated current in C109A and C109A-E493C.
A, B, Effects of acidic pH on
transport-associated current in typical traces from
C109A (A) and C109A-E493C
(B). Recording conditions are described in the
legend to Figure 2. C, D, Effects of
cysteine-modifying reagents MTSEA and MTSES on transport-associated
current from C109A (C) and C109A-E493C
(D). Transport-associated currents were recorded
both before and after MTS-reagent treatments and were normalized to the
current recorded before treatment. Error bars represent the SD in
measurements from three oocytes.
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E493C increases, and E493D decreases, the net charge
movement per 5-HT molecule
Our previous results showed that acidic pH (in the range of 5.5 to
6.5 compared with pH 7.5) increases transport-associated current but
does not change 5-HT uptake (Cao et al., 1997 ), indicating that
H+ could increase the ionic flux for each 5-HT
molecule further. To test whether this is also the case for the
C109A-E493C mutant, we performed [3H]5-HT uptake
experiments under voltage-clamp conditions so that [3H]5-HT uptake and total ionic flux could be
measured simultaneously. We found that the E493C mutant transported
5.5-fold more charges per 5-HT molecule (ratio of 126 ± 21 charges per
5-HT; n = 3) than did the control C109A (21 ± 5 charges per 5-HT; n = 3) (Fig. 7A). Similar results were
found with the E493Q mutant (data not shown). The E493C mutation did
not change the amplitude of the leakage current or the
Na+ dependence of 5-HT uptake (Fig. 7B).
The transport-associated current depended on [5-HT] with similar
EC50 values (0.3 ± 0.1 and 0.4 ± 0.1 µM; n = 3) and Hill coefficients
(1.4 ± 0.2 and 1.3 ± 0.1) for C109A-E493C and the control
C109A, respectively (Fig. 7C). The
EC50 for Na+ was not significantly
changed (data not shown). The hyperpolarization-induced transient
current found in WT rSERT (Mager et al., 1994 ) was also present in
C109A-E493C, although with reduced amplitude (Fig. 7D). As
we expected from the data on WT SERT, this transient current was
blocked by 5-HT (Fig. 7D). Thus, the most significant
changes produced by the E493C mutation were (1) reduced pH sensitivity of transport-associated current and (2) increased net charge movement per 5-HT uptake.

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Figure 7.
Functional effects of the E493C mutation.
A, Comparison of C109A and C109A-E493C on the ratio of
net charge movement to net 5-HT uptake. Error bars represent the SD in
measurements from three oocytes. B, Comparison of
C109A-E493C and a control (C109A) on the Na+
dependence of 5-HT uptake. NMDG was used as a substitute for
Na+. Error bars represent the SD in measurements
from six oocytes. C, Dose-response relationship for the
transport-associated current. Data were fit by nonlinear regression to
the Hill equation. D, Voltage-dependent transient
current in the C109A-E493C mutant and inhibition of this current by
5-HT. Current traces recorded in the presence (+) and
absence ( ) of 5-HT (3 µM) are superimposed. The voltage
protocol is shown at the top.
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Sequence alignment of the known Na+,
Cl -coupled neurotransmitter transporters and some
orphan transporters reveals that the negatively charged residue at
position 493 of rSERT-hSERT is highly conserved, perhaps even in two
orphan transporters from procaryotes (Fig. 1C). However,
only mammalian 5-HT transporters have glutamate at this position; in
most other transporters, this residue is aspartate. To test functional
differences between glutamate and aspartate at this position, we
constructed the E493D mutant in rSERT and expressed it in
Xenopus oocytes. The E493D mutant displayed H+ leakage current (Fig.
8A) and transient
current (Fig. 8B); the amplitudes of these two
currents were similar to those of WT, suggesting a similar expression
level. However, to our surprise, the E493D mutant displayed a much
smaller transport-associated current of <5 nA at pH 7.4 (Fig.
8A) compared with the current of 10-20 nA normally
seen with WT rSERT. Furthermore, the transport-associated current was
no longer potentiated by acidic pH. 5-HT may even slightly inhibit the
H+ leakage current (Fig. 8A). To
test whether the E493D mutation also affects the charge per 5-HT ratio,
we measured [3H]5-HT uptake under voltage-clamp
conditions. As shown in Figure 8C, the charge per 5-HT ratio
decreased by ~50% in E493D (8.1 ± 2.7 for E493D vs 17.2 ± 4.8 for WT; n = 3), indicating that there is less
uncoupled charge movement per 5-HT molecule transported.

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Figure 8.
Characterization of the E493D mutant.
A, Effect of acidic pH on transport-associated current.
Recording conditions are described in the legend to Figure 2.
B, Transient current in E493D and inhibition of this
current by 5-HT. Current traces recorded in the presence
and absence of 5-HT (3 µM) are superimposed. The voltage
protocol is the same as that shown in Figure 7D.
C, Comparison of E493D and WT on the ratio of net charge
movement to net 5-HT uptake. Error bars represent the SD in
measurements from three oocytes.
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DISCUSSION |
The mutations near position 490 described here produce specific
and subtle functional anomalies, encouraging us to assume that the
overall structure of SERT remains unchanged. The mutations change the
transport-associated current, its dependence on pH, and the number of
charges transported per 5-HT. But these mutations do not change the
dose-response relation for 5-HT, the leakage current, or the
voltage-dependent transient current. Although WT rSERT and WT hSERT
differ in the binding of tricyclic antidepressants and of
D-amphetamine, these differences are governed by residues downstream of position 532 rather than by positions 490 and 493 studied
here (Barker et al., 1994 ).
The gate-lumen-gate model
We interpret our experiments in terms of a model for
neurotransmitter transporter function in which the transport protein contains a channel-like lumen flanked by intracellular and
extracellular gates (Fig. 9). These gates
open and close individually and sequentially in response to the binding
of transported substrates, with resulting changes in
compartmentalization that form the essence of coupled transport (Lester
et al., 1994 , 1996 ). Although other conceptual models have been
advanced (Su et al., 1996 ), the gate-lumen-gate scheme is useful if
the external gate, the lumen, and the internal gate can be localized at
the level of primary amino acid sequence (and ultimately at the atomic
scale in three dimensions).

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Figure 9.
Schematic diagram of the transport cycle for SERT.
Six numbered states are enclosed within an oval;
arrowheads on the oval denote the direction of normal
progression through the transport cycle. Fully coupled stoichiometry
applies within the oval; one 5-HT molecule is transported into the cell
along with a single Na+ ion and a single
Cl ion (states 6, 1, 2, and 3). A single
K+ ion leaves (states 5 and 6). The external gate is
labeled in red when open; the internal gate is labeled
in blue when open. When 5-HT, Na+,
and Cl bind within the lumen, the external gate
closes, and the internal gate opens (state 1 state 2). This
changes the compartmentalization of the three substrates, which
accounts for their coupled flux. When K+ then binds
within the lumen, the internal gate closes, and the external gate
opens, accounting for the obligatory role of K+
(state 4 state 5). Outside the oval is the state (2*)
corresponding to the uncoupled transport-associated current. We
hypothesize that this uncoupled transport-associated current represents
a violation of the alternating-access rules; both gates are open
simultaneously. Retaining the convention from the ion channel
literature, we describe this conducting state by an *. The red
arrows indicate probabilities, not formal rate constants;
E493Q, E493C, and low pH increase the probability of state 2*, whereas
E493D decreases this probability.
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We want to state that the scheme of Figure 9 has some heuristic value
but that it omits some relevant data on the order and cooperativity of
substrate binding (Rudnick and Clark, 1993 ) and that it has no known
relation to structural features on the atomic scale. The illustration
shows six numbered states enclosed within an oval; arrowheads on the
oval denote the direction of normal progression through the transport
cycle. Within the oval, the accepted substrate stoichiometry prevails;
one 5-HT molecule is transported into the cell along with a single
Na+ ion and a single Cl ion. A
single K+ ion leaves. When 5-HT,
Na+, and Cl bind within the
lumen, the external gate closes, and the internal gate opens. This
changes the compartmentalization of the three substrates, which
accounts for their coupled flux. When K+ then binds
within the lumen, the internal gate closes, and the external gate
opens, accounting for the obligatory role of K+.
Outside the oval is the uncoupled transport-associated current that we
have studied and manipulated in these experiments. We hypothesize that
this uncoupled current represents a violation of the alternating-access
rules; both gates are open simultaneously (Lester et al., 1996 ; Sonders
and Amara, 1996 ). An analogous state 1* can be suggested for the
leakage current; indeed, we have found mutations affecting that current
as well, and these will be reported separately. We do not believe that
these currents are obligatory steps in the transport cycle (Lin et al.,
1996 , but see Galli et al., 1996 ); however, we have suggested
that the various currents represent important constraints on the
mechanism of transport (Lester et al., 1996 ).
The external gate may be near position 490
Position 490 and nearby residues are good candidates for partial
involvement in external gating. We know that the region is extracellular, because the present data show that the 493C mutant is
accessible to extracellular cysteine reagents. Mutations in this region
change the pH sensitivity of the transport-associated current. The
mutation could either change the conductance or affect the gating
process (changing the open probability). However, the first possibility
is unlikely because (1) E493 is located in an extracellular loop and is
thus unlikely to line the permeation pathway and (2) the amplitude of
the leakage current is not affected by this mutation. We thus favor the
second possibility, that either the E493C mutation, the E493Q mutation,
or low pH increase the open probability of the external gate. We
schematize this influence (Fig. 9) by the red arrows
connecting state 2 with the conducting state 2*, in which the external
gate is abnormally open, whereas the internal gate is normally
open.
Although the amino acid residue difference at position 490 is
responsible for the different pH sensitivities of hSERT and rSERT, E493
in rSERT might be the actual residue that is protonated to cause
increased transport-associated current. The positively charged lysine
at 490 in hSERT would be one turn away from E493 in an -helix. This
lysine might prevent a proton from gaining access to E493 and thus
abolish the low-pH potentiation. More specifically, the lysine might
form a salt bridge with E493, stabilizing E493 in the charged form and
thus stabilizing hSERT in a state equivalent to that of rSERT at higher
pH. The requirement for glutamate is very strict; even the conservative
substitution of aspartate abolishes the potentiation. Striking
differences in coupling and pH dependence are caused by glutamate
versus aspartate, in some cases because of salt bridges with lysine, in
two other ion-coupled transporters: the Escherichia coli
lactose permease (Sahin-Toth and Kaback, 1993 ) and the vesicular
monoamine transporter (Merickel et al., 1997 ).
Several other neurotransmitter transporters tested to date have not
revealed the low-pH potentiation of the transport-associated current
(Cao et al., 1997 ). There are two possible bases for this unique
behavior. (1) SERT is unusual because it is not electrogenic. For the
GABA transporter GAT1, the transport-associated current is tightly
coupled to the transport cycle; that is, the transport-associated current is explained by the stoichiometry of the events that occur within the oval of Figure 9 (Kavanaugh et al., 1992 ). The
transport-associated current for SERT may arise instead from fortuitous
operation of the gates, as described above. (2) Most other
neurotransmitter transporters have aspartate at the position that
aligns with 493 (Fig. 1C). Our results show that this
residue abolishes the low-pH potentiation of rSERT and also reduces the
transport-associated current at neutral pH (Fig. 8). An interesting
question is whether the increased transport-associated current,
governed in part by glutamate at position 493, has a physiological role
either via the resulting depolarization or via the accumulation of
internal Na+. Related roles have been suggested for
the Cl conductance associated with glutamate
transporters (Sonders and Amara, 1996 ).
Progress in other studies
The S545A mutation in TM11 (marked as number 4 in Fig.
1A) decreases the Na+ specificity
of transport (Sur et al., 1997 ). In external NMDG Ringer's solution,
S545A shows no detectable transport. Compared with WT, S545A displays
an increased EC50 for 5-HT and a reduced cooperativity for
Na+ binding (Sur et al., 1997 ). The results with
S545A suggested to Sur et al. (1997) that S545 is a component of the
external gate and participates in initial Na+
binding. The gates are likely to comprise several portions of the
transporter, in addition to the region suggested by our own studies.
There has also been progress in localizing the lumen. A mutation at
G177 in TM3 (one of the mutations noted by number 2 in Fig.
1A) increases single-channel conductance (Lin et al.,
1996 ). Cysteine residues introduced into TM3 are accessible to
alkylating reagents at several positions, and the periodicity suggests
an -helical structure (also noted as number 2 in Fig.
1A) (Chen et al., 1997b ), suggesting that TM3 may
comprise part of the lumen. Results to date therefore suggest that the
gate-lumen-gate scheme provides one possible theoretical framework,
and perhaps a preliminary structural framework, for explaining SERT
function.
 |
FOOTNOTES |
Received June 23, 1998; accepted July 14, 1998.
This work was supported by Grant DA-09121 from the National Institute
on Drug Abuse and Grant NS-11756 from the National Institute of
Neurological Disorders and Stroke, by a National Institutes of
Health National Research Service Award to Y.C., and by a National Alliance for Research on Schizophrenia and Depression fellowship to
S.M. We thank B. J. Hoffman and G. Rudnick for providing cDNAs.
Correspondence should be addressed to Dr. Henry A. Lester, Division of
Biology 156-29, California Institute of Technology, Pasadena, CA
91125.
Dr. Cao's present address: Monsanto Company, Mail Code CV-BRG, St.
Louis, MO 63198;
Dr. Mager's present address: Department of Physiology, University of
North Carolina at Chapel Hill, Chapel Hill, NC 27599-7545.
 |
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